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Duties/Responsibilities: The following essential functions/duties include, but are not limited to the following: Maintain fluency on all TheraCare policies and procedures and state/local regulations Provide Quality Assurance for the School Registered Nurse Program (DOE Staffing Program)
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired
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